A measurement scale to assess responsive feeding among Cambodian young children

A measurement scale to assess responsive feeding among Cambodian young children

The caregiver–child interaction during mealtime, which refers to responsive feeding (RF), influences child's dietary intake. In Cambodia, given the level of malnutrition, getting better knowledge of RF among young children is essential, but to do so, using an appropriate assessment tool is nece...

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Bibliographic Details
Published in:Maternal and child nutrition Vol. 16; no. 3; pp. e12956 - n/a
Main Authors: Sall, Ndèye S., Bégin, France, Dupuis, Jérémie B., Bourque, Jimmy, Menasria, Lylia, Main, Barbara, Vong, Lenin, Hun, Vannary, Raminashvili, David, Chea, Chhorvann, Chiasson, Lucie, Blaney, Sonia
Format: Journal Article
Language:English
Published: England John Wiley & Sons, Inc 01-07-2020
John Wiley and Sons Inc
Subjects:
active feeding
Cambodia
Caregivers
Children
Children & youth
Cluster Analysis
Confirmatory factor analysis
Diet
Feeding
Feeding Behavior
Female
Food
Food and nutrition
Health Education - methods
Humans
Infant
Infant Food - statistics & numerical data
Infant Nutritional Physiological Phenomena
Low income groups
Male
Malnutrition
Malnutrition - prevention & control
Meals
Measurement
measurement scale
Measures
NGOs
Nongovernmental organizations
Nutrition
Nutrition education
Nutrition programmes
Nutrition research
Nutrition Surveys - methods
Nutritional status
Original
Reliability
Reproducibility of Results
responsive feeding
young children
Cambodia
young children
measurement scale
Cambodia
responsive feeding
active feeding
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Summary:The caregiver–child interaction during mealtime, which refers to responsive feeding (RF), influences child's dietary intake. In Cambodia, given the level of malnutrition, getting better knowledge of RF among young children is essential, but to do so, using an appropriate assessment tool is necessary. We aim to develop and to validate a measurement tool to assess RF in two different situations (before and after an intervention) among children 6–23 months old. This research is part of a larger trial assessing the impact of nutrition education combined or not with the provision of complementary foods on child nutritional status. The “Opportunistic Observation Form” from the Process for the Promotion of Child Feeding package was used to collect data on RF through direct observations of child's meal episodes. Data were used to define an initial scale composed of four constructs and 15 indicators. Confirmatory factor analyses (CFA) and Hancock and Mueller's H reliability indices were computed to assess the validity and reliability of the scale. The final tool was applied to baseline and endline data. At baseline, the sample included 243 pairs and, at endline, 248 pairs. The final scale included two latent constructs (RF and active feeding) that comprise three indicators for active feeding and five for RF. Criteria for fit indices of CFA were met for both constructs though better at baseline. Reliability coefficients were above 0.80 for each construct at baseline and endline. This research proposes a scale that could be used to assess active feeding and RF. Further validation is warranted in different contexts.
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ISSN:1740-8695
1740-8709
DOI:10.1111/mcn.12956